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~II ~I~~I~~I~~~~~ ~I~ <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: George E. Otten APR 1 2000 <br />PERMIT NO.: M-1984-013 <br />OPERATION NAME: Mackey Mine GiviSion Of Mi ral~ & Ge010y/ <br />ANNIVERSARY DATE: May 14, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 '. ' ~' <br />COUNTY: Gilpin <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the pe it, an <br />operator shall submit [tte annual fee, a report and map showing the extent of curr t disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, ew <br />disturbances that are anticipated to occur during the upcoming year, reclamation t at will be <br />perfortned during the coming year, the dates for the beginning of active operation ,and the date <br />active operations ceased for the year, if any. <br />Please note that nn udegnatel}' luheled trap dtnt clearly delineates and includes tl}e above <br />elements may since for a written report. <br />Please type or print the current contact person's name, mailing address, and phon~ number in the <br />space provided: <br />Con[ac[ Name: WC~. ~ ~ YTL~/~// <br />Address: 7S ~/(o - S o . ~/,r~ ~; .~r <br />~,7f/ fan. C'o 80/2,0 <br />Company: <br />Phone No.: <br />-GG <br />FAX N <br />If there are additional comments and/or information that should be provided to th Division, <br />please provide i[ on a separate sheet and attach it to [his report form along with yo tr map and/or <br />written report. <br />~zd~ <br />Signature of C orate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />A1:~PERM rIN1A5TERD000MENTS/M~AF 0? DOC <br />